Source	S100 HSD Public
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5738BMP	EVEROLIMUS everolimus 250 microgram tablet, 60 (PI, CMI)	2	120	5	$303.86	$31.60	$31.60
	Available brands
	Certicana
	Everocana

Source	S100 HSD Private
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
6459YMP	EVEROLIMUS everolimus 250 microgram tablet, 60 (PI, CMI)	2	120	5	$324.90	$31.60	$31.60
	Available brands
	Certicana
	Everocana

Source	General Schedule
Body System	ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS > IMMUNOSUPPRESSANTS > IMMUNOSUPPRESSANTS

Caution

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8840GMP	EVEROLIMUS everolimus 250 microgram tablet, 60 (PI, CMI)	1	60	3	$180.32	$31.60	$31.60
	Available brands
	Certicana
	Everocana